James J Tomassetti, DMD

Primary specialty

Orthodontics and Dentofacial Orthopedics DentistryTaxonomy code 1223X0400X

License

5699 Issued in WI

Practice address

2310 E Evergreen Dr
Suite B
Appleton, WI 54913-7404

Phone

(920) 738-7600

Fax

(920) 738-6690

NPI assigned

Aug 9, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Apple Creek LTD

  • Orthodontics and Dentofacial Orthopedics Dentistry
  • Appleton, WI
  • NPI 1790188852
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1700896974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 E EVERGREEN DR",
            "address_2": "SUITE B",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137404",
            "telephone_number": "920-738-7600",
            "fax_number": "920-738-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 E EVERGREEN DR",
            "address_2": "SUITE B",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549137404",
            "telephone_number": "920-738-7600",
            "fax_number": "920-738-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASSETTI",
        "first_name": "JAMES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223X0400X",
            "taxonomy_group": "",
            "desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
            "state": "WI",
            "license": "5699",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "33789000",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Timmers, LAT
• Timothy L. Galow, D.D.S., S.C.
• TLC Rides LLC
• Cassandra M Toeppler, MSN, APNP
• David A Toivonen, M.D.
• Jeanne Marie Tomcek Groves, P.T.
• John T Topp, D.O.
• Jennifer Lynn Torbenson, RPH
• Jennifer Torborg, DPT
• Iris N Torres, MD

• Orthodontics and Dentofacial Orthopedics Dentistry in Appleton, WI
• Providers in Appleton, WI by specialty
• Orthodontics and Dentofacial Orthopedics Dentistry in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.